CENTRAL WYOMING RESCUE MISSION VOLUNTEER INFORMATION P. O. Box 2030, Casper, WY 82602. 230 N Park, Casper, WY 82601 307-268-4474 PLEASE PRINT Date: _________________________________ Name: ________________________________ Phone Number: ______________________________ Address: ______________________________Email:________________________________________ City: __________________________State: ________________Zip: __________________________ WE ARE SO THANKFUL THAT YOU HAVE CONSIDERED JOINING THE TEAM AT CWRM. IN ORDER TO USE YOUR ABILITIES TO THE FULLEST POTENTIAL, WE WOULD LIKE TO KNOW A LITTLE ABOUT YOUR PERSONAL BACKGROUND. Specifically list areas in which your skills & interests lie, including hobbies and other activities: ___________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Below are a few select volunteer positions. Please mark the areas in which you would enjoy working. Check out our website www.cwrm.org for details & updates on opportunities. ___ Ambassador or ‘drives’ coordinator for your church or business ____ ____ ____ ____ ____ Assist day cook in kitchen CWRM Rescued Treasures: tagging/processing donations, some lifting Help with fundraisers/events (plan, seek sponsors, make calls, distribute flyers, work events, etc.) Groups or individuals to help with special occasions at TTC (the women & children’s shelter) Professional Volunteer: in your area of expertise (ie. financial) or spiritual. Spiritual mentors must agree with CWRM Statement of Faith. ____ Create an evening of fellowship for our guests: games, activities, bowling, etc. (we can provide transport) ____ Needs Projects: Bag on Door Neighborhood/Grocery Store ____ Administrative Volunteer ____ Other _________________________________________________________________________ What days and hours are you available: __________________________________________________ I understand that CWRM is engaged in the practice of ministry and that, within the context of that ministry, I am volunteering to perform work duties without any expectation of compensation. I declare I am serving as a volunteer and not an employee. I realize CWRM will not be held responsible for any accident or injury that may occur while I am a volunteer. I hereby affirm the information I provide on this application is correct and that my references may be contacted. Signed:__________________________________________ Date:_________________________ VOLUNTEER APPLICATION PERSONAL INFORMATION BIRTHDATE: ______________________ (If Volunteer is under the age of 18 certain restrictions and limitations apply, please contact Volunteer Coordinator) CURRENT OR FORMER OCCUPATION: __________________________________________________________________________________________ EDUCATION: GRADE COMPLETED______ DIPLOMA _________ GED ________________ COLLEGE/TRADE SCHOOL: ____________________________________________________________________ MAJOR: ___________________________________________________________________________________ NON-RELATIVE REFERENCES: Please be advised we may check your references. Name 1. 2. 3. Relationship Years Known Phone Number Address Have you ever been convicted of a crime? ____ Explain type, dates and outcome. __________________________________________________________________________________________ Are you currently on probation, CAC or other structured law enforcement? ____________________________ If yes, please explain_________________________________________________________________________ Are you in recovery from any life controlling problems, (alcohol, drug, mental issues) ____________________ If yes, please explain_________________________________________________________________________ If currently taking prescription medications, please list type __________________________________________________________________________________________ __________________________________________________________________________________________ Do you attend a local church ______ If so, where _________________________________ Why do you want to be a volunteer: ____________________________________________________________ __________________________________________________________________________________________ Any other information or special needs you would like staff to be aware of: ________________________________________________________________________________ Emergency contact: ________________ Phone Number: __________________